| NPI | 1093253890 |
|---|---|
| Doing Business As | STOCKHAMMER MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LANDRY Managing Partner 386-736-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |